Individual
MICHELLE LYNN KYOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-0462
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-0472
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
4704330352
MI
176B00000X
Midwife
4704330352NSA210VU
MI
Other
Enumeration date
10/25/2021
Last updated
12/17/2021
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